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DR. BEVAN P BONHOMME MD
NPI 1598386468
Emergency Medicine in Willimantic, CT

Active since May 02, 2020PECOS Enrolled
112 MANSFIELD AVE, WILLIMANTIC, CT 06226(860) 609-9929(919) 966-3049 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Bevan P Bonhomme Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BEVAN P BONHOMME MD (NPI 1598386468) is an individual emergency medicine provider in Willimantic, Connecticut, licensed in Connecticut (76463) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598386468
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BEVAN P BONHOMMECredential: MD
Location Address112 MANSFIELD AVEWillimantic, CT 06226-2045
Mailing Address112 Mansfield AveWillimantic, CT 06226-2045 · (860) 609-9929
Phone(860) 609-9929
Fax(919) 966-3049
Sole ProprietorYes
Enumeration DateMay 2, 2020
Last NPPES UpdateNovember 17, 2023
NPPES CertifiedNovember 17, 2023
✔ NPI 1598386468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CT · 76463
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 260786 (NC)
112 MANSFIELD AVE, Willimantic, CT 06226
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bevan P Bonhomme Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Bevan Bonhomme reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nems PLLC
7.6 mi
Emergency Medicine
435 LEWIS AVE
Meriden, CT 06451
  • Reassigned Medicare billing, Connecticut enrollment
  • 96 clinicians in this Medicare group
NPI 1114482882 (203) 694-8200
Nems W LLC
17 mi
Emergency Medicine
64 ROBBINS ST
Waterbury, CT 06708
  • Reassigned Medicare billing, Connecticut enrollment
  • 83 clinicians in this Medicare group
NPI 1760325666 (203) 573-6000
Northeast Emergency Medicine Specialists, LLC
28 mi
Emergency Medicine
112 MANSFIELD AVE
Willimantic, CT 06226
  • Reassigned Medicare billing, Connecticut enrollment
  • 104 clinicians in this Medicare group
NPI 1982889598 (800) 261-0048

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
287 services281 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
138 services134 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
53 services53 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
49 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY JOY KENNEDY APRN
Nurse Practitioner (Acute Care)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-9116
MARLENE SCHWARTZ M.D.
Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE, PULMONARY DISEASE DIVISION, HATCH WING
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-7279
WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC.
General Acute Care Hospital
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6752
LORI BERNIER LCSW
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6793
JESSICA LISE VERCRUYSSE MD
Emergency Medicine
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (904) 265-6850
SAMER T MORCOS MD
Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6713
ERIN CURRY BANE DNP CNM
Midwife
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6796
JESSICA L ST. LOUIS LCSW
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6985

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bevan Bonhomme's NPI number?

The NPI number for Bevan Bonhomme is 1598386468. It was assigned to this individual provider in the NPPES registry on May 2, 2020.

Where is Bevan Bonhomme located?

Bevan Bonhomme practices at 112 Mansfield Ave, Willimantic, CT 06226. The listed phone number is (860) 609-9929.

What is Bevan Bonhomme's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Bevan Bonhomme enrolled in Medicare?

Yes. Bevan Bonhomme is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bevan Bonhomme's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bevan Bonhomme reassigns Medicare benefits to 3 organizations: Nems PLLC (Meriden, CT), Nems W LLC (Waterbury, CT) and Northeast Emergency Medicine Specialists, LLC (Willimantic, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bevan Bonhomme's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bevan Bonhomme was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.